Organization
REZ PEDIATRIC DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAMED REZAKHAN DDS (OWNER)
(410) 562-8611
Entity
Organization
Contact information
Practice address
1425 W ELLIOT RD # A101, GILBERT, AZ 85233-5129
(410) 562-8611
Mailing address
1425 W ELLIOT RD # A101, GILBERT, AZ 85233-5129
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8377
AZ
Other
Enumeration date
04/18/2017
Last updated
04/18/2017
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